| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.62 | $146.84 | $157.47 | |
Cigna
| Professional | $80.93 | $80.93 | $80.93 | |
Moda Health
| Facility | $113.95 | $147.63 | $179.85 | |
Moda Health
| Professional | $137.63 | $170.86 | $188.84 | |
Molina
| Professional | $30.00 | $45.00 | $314.74 | |
United
| Professional | $77.77 | $80.04 | $84.11 |